Individual
CASSANDRA GLYNN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
17100 ODELL AVE, TINLEY PARK, IL 60477-2626
(773) 218-7058
Mailing address
17100 ODELL AVE, TINLEY PARK, IL 60477-2626
(773) 218-7058
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
Primary
—
—
Other
Enumeration date
09/12/2019
Last updated
09/12/2019
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